What does insurance pending mean on a bill?

A pending claim is a claim that has been received by SummaCare but that we cannot process (pay or deny). When you are in the first 30 days of your grace period, you will continue to have health insurance coverage and we will pay claims for services you received during this time.

How are medical bills submitted to the insurance company?

After you visit your doctor, your doctor’s office submits a bill (also called a claim) to your insurance company. A claim lists the services your doctor provided to you. The insurance company uses the information in the claim to pay your doctor for those services.

What to do if your health insurance bill is wrong?

Contact your healthcare provider’s billing office: Speak to your healthcare provider about bill inaccuracies. If they made an error during the claims process, they should be able to correct it. Take note of the billing representative, the date, and time of your phone call.

What does a billed charge mean on a medical bill?

Description: This is a short phrase that explains the service or supplies you received. Charges: This is the full price of the services or supplies you received before insurance has been factored in. Billed Charges: This is the total amount charged directly to either you or your insurance provider.

What does the date of service mean on a medical bill?

Date of service: The date you received the medical services, procedures, or supplies. Service Code: This identifies the specific services, procedures, or supplies you received from a healthcare provider.

What does it mean when it says this is not a bill?

“It doesn’t mean you have to pay it, it just means this is for your information,” McDougald said. “You want to hold onto that.” The next delivery will be the Explanation of Benefits (EOB) from your insurance provider. You can recognize this letter by the phrase “THIS IS NOT A BILL” printed in large type.

Do you have to prove you don’t owe medical bills?

You should do the same for your medical bills. But before you start celebrating, there’s a catch: Proving you don’t owe will require work. That doesn’t mean it isn’t worth the effort, and it could definitely be worth the money.

When does your health insurance company will not pay?

In general, even if your health plan covers out-of-network care, they’re going to want to pay considerably less than the doctor bills, and the doctor is not obligated to accept the insurer’s amount as payment in full (this is where balance billing comes into play).

What happens if you get a medical bill more than you expected?

Just because you get a medical bill doesn’t mean you have to pay it. If you got a restaurant tab that was $50 more than you expected, you’d double check that receipt for every appetizer and dessert, right? You should do the same for your medical bills. But before you start celebrating, there’s a catch: Proving you don’t owe will require work.